| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
7,638 |
7,173 |
$2.31M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
15,942 |
15,151 |
$1.93M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
9,395 |
8,974 |
$1.73M |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
9,481 |
8,643 |
$886K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,591 |
3,446 |
$509K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
6,197 |
6,049 |
$441K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
4,017 |
3,382 |
$349K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
9,365 |
7,772 |
$300K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
4,962 |
4,349 |
$276K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
15,886 |
4,664 |
$273K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
12,478 |
4,613 |
$259K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
7,772 |
6,674 |
$246K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,755 |
2,675 |
$243K |
| 71045 |
Radiologic examination, chest; single view |
6,353 |
6,000 |
$236K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
15,552 |
4,469 |
$188K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
889 |
886 |
$184K |
| 59025 |
Fetal non-stress test |
2,113 |
1,210 |
$181K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,775 |
1,666 |
$174K |
| 71046 |
Radiologic examination, chest; 2 views |
4,303 |
4,153 |
$155K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,234 |
1,198 |
$131K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
1,646 |
1,608 |
$120K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
3,015 |
2,951 |
$118K |
| 80061 |
Lipid panel |
8,069 |
7,975 |
$113K |
| G0378 |
Hospital observation service, per hour |
623 |
597 |
$103K |
| 76801 |
|
1,693 |
1,496 |
$100K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,709 |
1,679 |
$96K |
| 86900 |
|
4,183 |
3,972 |
$95K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
5,526 |
5,386 |
$90K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
5,404 |
5,323 |
$88K |
| 76830 |
Ultrasound, transvaginal |
1,455 |
1,418 |
$85K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
5,246 |
1,875 |
$81K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
941 |
921 |
$81K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,740 |
1,721 |
$80K |
| G0145 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision |
4,945 |
4,935 |
$73K |
| 80053 |
Comprehensive metabolic panel |
27,027 |
24,465 |
$67K |
| 73564 |
|
1,982 |
1,960 |
$63K |
| 97162 |
|
1,255 |
1,240 |
$61K |
| 84443 |
Thyroid stimulating hormone (TSH) |
11,386 |
11,008 |
$61K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
963 |
961 |
$58K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
38,085 |
32,729 |
$58K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
5,599 |
4,938 |
$56K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
630 |
617 |
$49K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
2,033 |
1,931 |
$43K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
3,450 |
3,396 |
$41K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
205 |
203 |
$39K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
1,164 |
899 |
$36K |
| 73610 |
|
1,926 |
1,714 |
$36K |
| 73030 |
|
1,822 |
1,724 |
$35K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
7,935 |
3,919 |
$33K |
| 36415 |
Collection of venous blood by venipuncture |
25,750 |
21,626 |
$33K |
| 97161 |
|
689 |
681 |
$29K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,562 |
4,460 |
$28K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
313 |
304 |
$27K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,584 |
2,530 |
$27K |
| 73630 |
|
1,869 |
1,747 |
$27K |
| 73130 |
|
1,820 |
1,681 |
$27K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
9,422 |
8,090 |
$26K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
2,601 |
2,578 |
$25K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
5,905 |
5,827 |
$23K |
| 74018 |
|
948 |
862 |
$22K |
| 73110 |
|
1,166 |
1,039 |
$20K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
1,181 |
1,178 |
$20K |
| U0005 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
1,591 |
1,566 |
$20K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
6,875 |
6,518 |
$18K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
205 |
198 |
$18K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
102 |
64 |
$16K |
| 86780 |
|
2,367 |
1,804 |
$15K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
51 |
51 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,456 |
3,912 |
$15K |
| G0472 |
Hepatitis c antibody screening, for individual at high risk and other covered indication(s) |
660 |
649 |
$14K |
| 82607 |
|
2,265 |
2,232 |
$14K |
| 81025 |
|
9,573 |
8,934 |
$13K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
2,126 |
1,988 |
$13K |
| 84439 |
|
3,414 |
3,315 |
$13K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
12,608 |
10,987 |
$12K |
| 82728 |
|
2,025 |
1,955 |
$11K |
| 72110 |
|
443 |
440 |
$11K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
37 |
37 |
$10K |
| 86803 |
|
1,717 |
1,707 |
$10K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
866 |
844 |
$8K |
| 85027 |
|
4,071 |
3,826 |
$8K |
| 87653 |
|
469 |
468 |
$8K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
303 |
296 |
$8K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
25 |
24 |
$8K |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
865 |
856 |
$7K |
| 71271 |
|
138 |
138 |
$7K |
| 84702 |
|
1,713 |
1,171 |
$7K |
| 86762 |
|
1,243 |
1,237 |
$7K |
| 87340 |
|
1,779 |
1,770 |
$7K |
| 73502 |
|
413 |
407 |
$7K |
| 86787 |
|
1,273 |
1,234 |
$7K |
| 81001 |
|
18,063 |
16,294 |
$7K |
| 87150 |
|
486 |
479 |
$7K |
| 87186 |
|
2,709 |
2,627 |
$7K |
| 87077 |
|
2,781 |
2,432 |
$6K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
18 |
18 |
$6K |
| 87081 |
|
2,569 |
2,505 |
$6K |
| 93971 |
|
99 |
97 |
$6K |
| 94726 |
|
174 |
170 |
$5K |
| 82746 |
|
874 |
862 |
$5K |
| 83550 |
|
1,489 |
1,431 |
$5K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
458 |
458 |
$5K |
| 83735 |
|
8,365 |
7,105 |
$5K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
311 |
308 |
$5K |
| 83540 |
|
1,925 |
1,843 |
$5K |
| 76642 |
|
116 |
115 |
$5K |
| M0247 |
Intravenous infusion, sotrovimab, includes infusion and post administration monitoring |
18 |
18 |
$5K |
| 96376 |
|
2,894 |
2,136 |
$5K |
| 94060 |
|
38 |
37 |
$5K |
| 85610 |
|
8,020 |
6,680 |
$5K |
| 81002 |
|
2,992 |
2,908 |
$4K |
| 86850 |
|
3,910 |
3,733 |
$4K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
197 |
191 |
$4K |
| 82570 |
|
1,908 |
1,836 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
202 |
202 |
$4K |
| 74022 |
|
673 |
651 |
$4K |
| 93017 |
|
189 |
189 |
$4K |
| 83880 |
|
1,347 |
1,223 |
$4K |
| 86140 |
|
3,194 |
2,780 |
$3K |
| C9399 |
Unclassified drugs or biologicals |
123 |
120 |
$3K |
| 96367 |
|
116 |
103 |
$3K |
| 82043 |
|
1,373 |
1,361 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
323 |
296 |
$3K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
25 |
25 |
$3K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
153 |
153 |
$3K |
| 87807 |
|
1,081 |
1,053 |
$3K |
| 76775 |
|
63 |
63 |
$3K |
| 76536 |
|
52 |
52 |
$2K |
| 82950 |
|
1,084 |
1,081 |
$2K |
| 80306 |
|
1,414 |
1,315 |
$2K |
| 82947 |
|
1,177 |
1,163 |
$2K |
| 80076 |
|
4,173 |
3,945 |
$2K |
| 87088 |
|
843 |
814 |
$2K |
| 73100 |
|
45 |
32 |
$2K |
| 97163 |
|
39 |
39 |
$2K |
| 87070 |
|
812 |
789 |
$2K |
| 85652 |
|
2,718 |
2,517 |
$2K |
| 97116 |
|
209 |
95 |
$2K |
| 83690 |
|
6,482 |
5,908 |
$1K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
686 |
669 |
$1K |
| 72100 |
|
36 |
36 |
$1K |
| 87507 |
|
15 |
15 |
$1K |
| 72141 |
|
12 |
12 |
$1K |
| 86901 |
|
4,182 |
3,971 |
$1K |
| 73560 |
|
41 |
39 |
$1K |
| 73080 |
|
86 |
82 |
$1K |
| 82248 |
|
655 |
593 |
$1K |
| 87210 |
|
725 |
705 |
$1K |
| 86038 |
|
225 |
220 |
$1K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
86 |
86 |
$889.56 |
| 87205 |
|
815 |
787 |
$872.52 |
| 73140 |
|
29 |
25 |
$766.22 |
| 72070 |
|
25 |
25 |
$756.53 |
| 82077 |
|
1,988 |
1,751 |
$715.56 |
| 85730 |
|
5,332 |
4,999 |
$712.16 |
| 97035 |
|
122 |
56 |
$670.96 |
| 82565 |
|
426 |
376 |
$667.30 |
| 82150 |
|
1,154 |
1,087 |
$603.85 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
13 |
13 |
$588.48 |
| 82962 |
|
2,119 |
1,630 |
$540.98 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
2,011 |
1,690 |
$530.54 |
| 77065 |
Tomosynthesis, mammo |
12 |
12 |
$528.72 |
| 93225 |
|
12 |
12 |
$483.72 |
| 87631 |
|
18 |
17 |
$436.81 |
| 87634 |
|
47 |
47 |
$417.00 |
| 97165 |
|
15 |
15 |
$406.71 |
| 84153 |
|
47 |
47 |
$404.44 |
| 73090 |
|
43 |
37 |
$393.62 |
| 84100 |
|
633 |
583 |
$308.44 |
| 84403 |
|
29 |
27 |
$281.85 |
| 80074 |
|
13 |
13 |
$239.44 |
| 73590 |
|
39 |
37 |
$238.20 |
| 85379 |
|
1,692 |
1,636 |
$230.18 |
| 83970 |
|
12 |
12 |
$177.85 |
| 84481 |
|
26 |
25 |
$175.00 |
| 87040 |
|
1,693 |
1,456 |
$148.36 |
| 83605 |
|
4,455 |
3,957 |
$144.41 |
| 83001 |
|
24 |
24 |
$143.47 |
| 82105 |
|
37 |
37 |
$122.13 |
| 84550 |
|
101 |
92 |
$106.18 |
| 71101 |
|
14 |
14 |
$101.71 |
| 12001 |
|
39 |
39 |
$100.76 |
| 84484 |
|
5,734 |
4,124 |
$94.27 |
| 86431 |
|
41 |
41 |
$90.89 |
| 84460 |
|
42 |
40 |
$88.24 |
| 86376 |
|
13 |
13 |
$82.00 |
| 86704 |
|
13 |
12 |
$71.49 |
| 84703 |
|
366 |
356 |
$66.83 |
| 86039 |
|
12 |
12 |
$66.40 |
| 88304 |
|
42 |
41 |
$59.22 |
| 84156 |
|
48 |
44 |
$53.71 |
| 80179 |
|
1,199 |
1,105 |
$51.31 |
| 80143 |
|
1,231 |
1,126 |
$51.31 |
| 86308 |
|
26 |
26 |
$46.34 |
| 83615 |
|
43 |
36 |
$43.23 |
| 90715 |
|
303 |
302 |
$32.25 |
| 84450 |
|
13 |
13 |
$29.53 |
| 82550 |
|
25 |
24 |
$29.38 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
10,491 |
8,927 |
$15.90 |
| 85018 |
|
12 |
12 |
$11.04 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
4,904 |
4,690 |
$3.34 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,601 |
1,432 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
3,240 |
3,076 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,887 |
1,805 |
$0.00 |
| 82803 |
|
92 |
82 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
1,659 |
1,490 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
3,870 |
3,774 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
4,054 |
3,780 |
$0.00 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
87 |
84 |
$0.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
1,151 |
649 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
2,434 |
1,985 |
$0.00 |
| J2060 |
Injection, lorazepam, 2 mg |
1,232 |
1,041 |
$0.00 |
| 94760 |
|
1,578 |
1,337 |
$0.00 |
| J3490 |
Unclassified drugs |
257 |
253 |
$0.00 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
986 |
889 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
7,096 |
6,509 |
$0.00 |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
63 |
63 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
264 |
257 |
$0.00 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
227 |
223 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
50 |
49 |
$0.00 |
| A9270 |
Non-covered item or service |
57 |
40 |
$0.00 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
115 |
112 |
$0.00 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
158 |
155 |
$0.00 |
| 96368 |
|
27 |
26 |
$0.00 |
| 94761 |
|
120 |
94 |
$0.00 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
29 |
29 |
$0.00 |
| J1630 |
Injection, haloperidol, up to 5 mg |
28 |
24 |
$0.00 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
404 |
366 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
2,408 |
2,126 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
9,332 |
8,116 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
1,545 |
1,486 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
3,390 |
2,947 |
$0.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
780 |
706 |
$0.00 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
14 |
12 |
$0.00 |
| 94664 |
|
433 |
420 |
$0.00 |
| 94729 |
|
128 |
126 |
$0.00 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
433 |
429 |
$0.00 |
| 80305 |
|
15 |
15 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
261 |
230 |
$0.00 |
| C9113 |
Injection, pantoprazole sodium, per vial |
72 |
54 |
$0.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
159 |
123 |
$0.00 |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
158 |
111 |
$0.00 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
71 |
65 |
$0.00 |
| 93226 |
|
12 |
12 |
$0.00 |
| 94150 |
|
22 |
13 |
$0.00 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
19 |
17 |
$0.00 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
27 |
27 |
$0.00 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
13 |
12 |
$0.00 |
| 82375 |
|
14 |
12 |
$0.00 |